Skip to main content Accessibility help
×
Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-24T00:33:52.907Z Has data issue: false hasContentIssue false

Chapter 4 - Mood Disorders

Published online by Cambridge University Press:  13 October 2023

Peter Tyrer
Affiliation:
Emeritus, Imperial College London
Get access

Summary

All changes have both good and bad consequences. However, on occasion, some of the ramifications can also be ‘ugly’. In a similar vein to Sergio Leone’s classic , ICD-11 has finally, after 30 years, revised its description of mood disorders. The good things are that they have dispensed with the term ‘affective’, introduced the concept of clusters of mood symptoms, and combined depression and bipolar disorder into a unified spectrum of mood disorders. The bad things are a missed opportunity to fully embrace mixed states and extend some of the innovations that have been applied to depression to its counterparts namely, mania and mixed mood states. However, it is the ugly that is most disturbing, as they have blindly embraced the erroneous concept of subtyping bipolar disorder – a venture that has been a categorical disaster. Queue Ennio Morricone.

Type
Chapter
Information
Making Sense of the ICD-11
For Mental Health Professionals
, pp. 39 - 58
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

References

World Health Organization. (2018). International Statistical Classification of Diseases and Related Health Problems (11th revision). Geneva: World Health Organization.Google Scholar
Angst, J., Ajdacic-Gross, V., Rössler, W. (2020). Bipolar disorders in ICD-11: current status and strengths. Intl J Bipolar Disord, 8(1), 3.CrossRefGoogle ScholarPubMed
Malhi, G.S., Bell, E. (2022). Questions in psychiatry (QuiP): sexual well-being and mental illness. Bipolar Disord, 24(1), 8689. https://doi.org/10.1111/bdi.13179CrossRefGoogle ScholarPubMed
Malhi, G.S., Irwin, L., Hamilton, A., et al. (2018). Modelling mood disorders: an ACE solution? Bipolar Disord, 20, 416.CrossRefGoogle ScholarPubMed
Bell, E., Boyce, P., Porter, R.J., Bryant, R.A., Malhi, G.S. (2021). Irritability in mood disorders: neurobiological underpinnings and implications for pharmacological intervention. CNS Drugs, 35(6), 619641.CrossRefGoogle ScholarPubMed
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders: DSM-5, 5th ed. Arlington, VA: American Psychiatric Publishing.Google Scholar
Mulder, R.T., Horwood, J., Tyrer, P., Carter, J., Joyce, P.R. (2016). Validating the proposed ICD-11 domains. Personal Ment Health, 10(2), 8495.CrossRefGoogle ScholarPubMed
Salk, R.H., Hyde, J.S., Abramson, L.Y. (2017). Gender differences in depression in representative national samples: meta-analyses of diagnoses and symptoms. Psychol Bull, 143(8), 783.CrossRefGoogle ScholarPubMed
Duffy, A., Carlson, G., Dubicka, B., Hillegers, M.H.J. (2020). Pre-pubertal bipolar disorder: origins and current status of the controversy. Intl J Bipolar Disord, 8(1), 18.CrossRefGoogle ScholarPubMed
Malhi, G.S., Bell, E., Hamilton, A., Morris, G. (2020). Paediatric Bipolar Disorder: prepubertal or premature? Aust N Z J Psychiatry, 54(5), 547–50.CrossRefGoogle ScholarPubMed
Malhi, G.S., Bell, E. (2021). Questions in psychiatry (QuiP): is paediatric bipolar disorder a valid diagnosis? Bipolar Disord, 23(3), 297300.CrossRefGoogle ScholarPubMed
Parker, G. (2021). Polarised views: a critique of the mood disorders guidelines. Aust N Z J Psychiatry, 55(6).Google Scholar
Malhi, G.S. (2021). Thing one and thing two: what ‘Doctors use’ to doctor you? Aust N Z J Psychiatry, 55(6), 536547.CrossRefGoogle Scholar
Malhi, G.S., Fritz, K., Allwang, C., et al. (2015). Agitation for recognition by DSM-5 mixed features specifier signals fatigue? Aust N Z J Psychiatry, 49(6), 499501.CrossRefGoogle ScholarPubMed
Malhi, G.S., Bell, E., Bassett, D., et al. (2021). The 2020 Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for mood disorders. Aust N Z J Psychiatry, 55(1), 7117.CrossRefGoogle ScholarPubMed
Dunner, D.L. (2017). Bipolar II Disorder. Bipolar Disord, 19(7), 520521.CrossRefGoogle ScholarPubMed
Robins, E.L.I., Guze, S.B. (1970). Establishment of diagnostic validity in psychiatric illness: its application to schizophrenia. Am J Psychiatry, 126(7), 983987.CrossRefGoogle ScholarPubMed
Luty, J. (2020). Bordering on the bipolar: a review of criteria for ICD-11 and DSM-5 persistent mood disorders. BJPsych Advances, 26(1), 5057.CrossRefGoogle Scholar
Kraepelin, E. (1899). Psychiatrie: ein Lehrbuch für Studirende und Aerzte (Psychiatry: A Manual for Students and Physicians), 6th ed. Leipzig: Johann Ambrosius Barth.Google Scholar
Salvatore, P., Baldessarini, R.J., Centorrino, F., et al. (2002). Weygandt’s On the Mixed States of Manic-Depressive Insanity: a translation and commentary on its significance in the evolution of the concept of bipolar disorder. Harv Rev Psychiatry, 10(5), 255275.CrossRefGoogle Scholar
Bell, E., Malhi, G.S., Mannie, Z., et al. (2021). Novel insights into irritability: the relationship between subjective experience, age and mood. BJPsych Open, 7(6), e198.CrossRefGoogle ScholarPubMed
Mulder, R., Tyrer, P. (2019). Diagnosis and classification of personality disorders: novel approaches. Curr Opin Psychiatry, 32(1).CrossRefGoogle ScholarPubMed
Tyrer, P., Mulder, R., Kim, Y.-R., Crawford, M.J. (2019). The development of the ICD-11 Classification of Personality Disorders: an amalgam of science, pragmatism, and politics. Ann Rev Clin Psychol, 15(1), 481502.CrossRefGoogle ScholarPubMed
Bassett, D. (2012). Borderline personality disorder and bipolar affective disorder. Spectra or spectre? A review. Aust N Z J Psychiatry, 46(4), 327339.CrossRefGoogle ScholarPubMed
Singh, M.K., Chang, K.D., Goldstein, B.I., et al. (2020). Isn’t the evidence base for pediatric bipolar disorder already sufficient to inform clinical practice? Bipolar Disord, 22(7), 664665.CrossRefGoogle ScholarPubMed
Malhi GS, Bell E. Fake views: DMDD, indeed! Australian and New Zealand Journal of Psychiatry. 2019;53(7):706–10.Google Scholar
Malhi, G.S., Bell, E. (2019). Fake views: DMDD, indeed! Aust N Z J Psychiatry, 53(7), 706710.CrossRefGoogle ScholarPubMed

References

Dunner, D.L. (2017). Bipolar II disorder. Bipolar Disord, 19(7), 520521. https://doi.org/10.1111/bdi.12567CrossRefGoogle ScholarPubMed
Malhi, G.S. (2021). Thing one and thing two: what ‘doctors use’ to doctor you? Aust N Z J Psychiatry, 55(6), 536547. https://doi.org/10.1177/00048674211022602CrossRefGoogle Scholar
Malhi, G., Outhred, T., Irwin, , L. (2019). Bipolar II Disorder is a myth. Can J Psychiatry, 64(8), 531536. https://doi.org/10.1177/0706743719847341Google ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×